1739.01
Multiple employer welfare arrangement definitions.

(A)
"Agreement" means a written
agreement executed by members of a multiple employer welfare arrangement that
establishes an arrangement, provides for its operation, and through which each
member agrees to assume and discharge all liability under sections 1739.01 to
1739.22 of the Revised Code
relating to or arising out of the operation of the arrangement in proportion to
the ratio of the total number of covered employees employed by the member at
the time the liability arose to the total number of covered employees employed
by all members of the arrangement at the time the liability arose.

(B)
"Excess insurance" or "stop-loss
insurance" means an insurance policy purchased by a multiple employer welfare
arrangement under which it receives reimbursement for benefits it pays in
excess of a preset deductible or limit.

(C)
"Fully insured program" means a program
by which benefits are provided to members, employees of members, or the
dependents of such members or employees, through the purchase of sickness and
accident insurance from an insurance company licensed to do business in this
state or health services purchased from a health insuring corporation
authorized to do business in this state.

(D)
"Group self-insurance program" means a
program by which benefits are provided to members, employees of members, or the
dependents of such members or employees, other than through sickness and
accident insurance purchased from an insurance company licensed to do business
in this state or health care services purchased from a health insuring
corporation authorized to do business in this state.

(E)
"Member" means an individual or an
employer that is a member of an organization sponsoring a multiple employer
welfare arrangement.

(F)
"Multiple
employer welfare arrangement" means an employee welfare benefit plan, trust, or
any other arrangement, whether such plan, trust, or arrangement is subject to
the "Employee Retirement Income Security Act of 1974," 88 Stat. 829,
29 U.S.C.A.
1001 , as amended, that is established or
maintained for the purpose of offering or providing, through group insurance or
group self-insurance programs, medical, surgical, or hospital care or benefits,
or benefits in the event of sickness, accident, disability, or death, to the
employees, and their dependents, of two or more employers, or to two or more
self-employed individuals and their dependents.

(G)
"Premium" means any type of consideration
paid to a multiple employer welfare arrangement by a member for coverage under
the arrangement.

(H)
"Surplus"
means the total assets of the multiple employer welfare arrangement less its
liabilities and reserves as determined in accordance with the requirements of
sections 1739.01 to
1739.21 of the Revised Code.

(I)
"Third-party administrator"
has the same meaning as "administrator" in section
3959.01 of the Revised Code.